Individual provider Active NPI

Alexandre Lavoie, LCSW, CADC

  • Clinical Social Worker
  • Bridgton, ME
National Provider Identifier
1841760386
Registry record updated Apr 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LC20839 Issued in ME
Practice address
32 N High St
Bridgton, ME 04009-1125
Phone
(207) 647-5629
NPI assigned
Nov 27, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CAC6741 ME
Clinical Social Worker 1041C0700X LC20839 ME Primary

Addresses

Primary practice location

32 N High St
Bridgton, ME 04009-1125

Mailing address

PO Box 170
Bridgton, ME 04009-0170
Phone (207) 647-5629

Other practice location 1

1155 Lisbon St
Lewiston, ME 04240-5025
Phone (207) 783-9141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ME
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220601002391 ME Practitioner - Clinical Social Worker 3971981069 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Spurwink Services IncorporatedGroup PAC ID 7810026945, 87 clinicians

Practice addresses (Care Compare)

901 Washington Ave
Suite 100
Portland, ME 04103-2842
Phone (207) 871-1200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CAC6741MEMDAddiction (Substance Use Disorder) Counselor
LC20839MEMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Spurwink Services Incorporated CurrentSince Apr 1, 2024 Accepting new patients
Spurwink Services Incorporated PastSince Apr 1, 2024 Accepting new patients

Locations

139 State St
#1
Bangor, ME 04401

32 N High St
Bridgton, ME 04009
Phone (207) 647-5629

1155 Lisbon St
Lewiston, ME 04240

143 Pottle Rd
Oxford, ME 04270
Phone (207) 743-7911

901 Washington Ave
Ste 100
Portland, ME 04103
Phone 20787112112145

9 Hillcrest Ave
Randolph, ME 04346
Phone (207) 582-9205

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1543276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649289600000",
    "number": "1841760386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 170",
            "city": "BRIDGTON",
            "state": "ME",
            "postal_code": "040090170",
            "telephone_number": "207-647-5629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 N HIGH ST",
            "city": "BRIDGTON",
            "state": "ME",
            "postal_code": "040091125",
            "telephone_number": "207-647-5629"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1155 Lisbon St",
            "address_purpose": "LOCATION",
            "city": "Lewiston",
            "state": "ME",
            "postal_code": "042405025",
            "country_code": "US",
            "telephone_number": "207-783-9141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LAVOIE",
        "first_name": "ALEXANDRE",
        "credential": "LCSW, CADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-27",
        "last_updated": "2022-04-07",
        "certification_date": "2022-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "ME",
            "license": "CAC6741",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC20839",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgton, ME

Sources for this page

Verify at the official NPI Registry.